@layout("/common/_form.html",{js:["/assets/modular/system/btyZxBaoxiaodan/btyZxBaoxiaodan_detail.js"]}){

<form class="layui-form" id="btyZxBaoxiaodanForm" lay-filter="btyZxBaoxiaodanForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden" id="id"/>
                    <div class="layui-inline layui-col-md12">
                        <p style="text-align: center;color: #f00;" id="reason"></p>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">店名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="shopName" name="shopName" type="text" class="layui-input" readonly/>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">报销金额<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="reimbursementAmount" name="reimbursementAmount" type="text" class="layui-input" readonly/>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">统称备注<span style="color: red;">*</span></label>
                        <div class="layui-input-block" style="display: flex;">
                            <div>
                                <input style="width: 280px;" id="productRemark" name="productRemark" type="text" class="layui-input" readonly/>
                            </div>
                            <div class="layui-upload">
                                <input type="hidden" name="fileUrl" id="fileUrl">
                                <button type="button" class="layui-btn layui-btn-primary layui-border-blue" id="download" style="margin-left: 10px;">查看货品</button>
                                <button type="button" class="layui-btn layui-btn-primary layui-border-blue" id="upload">导入货品单</button>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
<!--    <div class="form-group-bottom text-center">-->
<!--        <button class="layui-btn" lay-filter="btnSave" lay-submit id="btnSave">&emsp;保存&emsp;</button>-->
<!--        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>-->
<!--    </div>-->

</form>

@}